从治疗3400万高血压患者的经验中吸取的经验教训:全球心脏倡议
Bolanle F Banigbe1, Andrew E Moran2, Reena Gupta3
1Resolve to Save Lives, New York, New York, USA.
Journal of the American College of Cardiology
|December 3, 2025
概括
有效的高血压控制计划,如世界卫生组织的HEARTS倡议,对于减少可预防的死亡至关重要. 实施这些计划需要解决药物获取,提供者培训和数字卫生系统,以更好地管理血压.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 加强卫生系统 加强卫生系统
背景情况:
- 高血压是全球可预防死亡的主要原因,血压控制率较低.
- 世界卫生组织 (WHO) HEARTS技术包为高血压管理提供可扩展的干预措施.
- 自2017年以来,Resolve to Save Lives在38个国家支持了基于HEARTS的项目.
研究的目的:
- 描述基于HEARTS的多国高血压控制计划中成功的障碍和促进因素.
- 分享从大规模实施高血压干预措施中吸取的经验教训.
- 确定改善全球BP控制率的策略.
主要方法:
- 与国家政府和利益相关者合作,实施HEARTS计划.
- 使用线性药物和剂量特定的治疗方案.
- 采用宣传,指导和数字信息系统来扩大计划规模.
主要成果:
- 到2024年12月,超过3400万人在38个国家的超过22万个设施中开始接受治疗.
- 线性协议被证明是有效的,节省成本,并使非医生医疗保健工作者参与.
- 关键的挑战包括可靠获得负担得起的药物和政策/制度障碍的任务转移.
结论:
- 实施国家开发的协议,改善药物供应链,投资于数字系统对于扩大高血压控制至关重要.
- 通过宣传,培训和监督解决政策和制度障碍对于以团队为基础的护理和任务转移至关重要.
- 消除用户费用,分散治疗和整合服务等策略可以改善吸收,保留和BP控制,使50%的社区BP控制可以实现.
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